From the Duke Clinical Research Institute.
Department of Pediatrics, Duke University School of Medicine, Durham, North Carolina.
Pediatr Infect Dis J. 2019 Feb;38(2):e26-e28. doi: 10.1097/INF.0000000000002045.
Micafungin is used off-label in the United States to treat invasive candidiasis in neonates. We used an established pharmacokinetic model to determine micafungin exposures for 46 courses in 39 hospitalized infants. In this small cohort of infants, micafungin exposure was not associated with laboratory markers of liver toxicity, death or failure of microbiologic clearance.
米卡芬净在美国被超适应证用于治疗新生儿侵袭性念珠菌病。我们使用已建立的药代动力学模型来确定 39 名住院婴儿的 46 个疗程的米卡芬净暴露情况。在这个小婴儿队列中,米卡芬净的暴露与肝毒性、死亡或微生物清除失败的实验室标志物无关。